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Double risks of natural disasters and COVID-19

 


The COVID-19 pandemic is a complex, unprecedented global crisis. In almost every country around the world, the epidemic response captures the most resources, experience, time and effort.

However, how will people and systems behave in the event of a major natural hazard, such as an earthquake or tropical cyclone, while the COVID-19 pandemic continues?

How will people and systems deal in the event of a major natural risk during COVID-19? Image: Getty Images

Our new research combines simple epidemiological models with natural hazardous curves to investigate potential scenarios that could occur in many different countries, if a natural disaster strikes.

More importantly, it also identifies several strategic steps that governments and disaster management agencies may consider to reduce risks during an epidemic.

From forest fires to epidemics

In January this year, as devastating forest fires forced thousands of Australians to vacate their homes, China imposed a closure in Hubei Province to ease a new coronary virus outbreak that we now know as COVID-19.

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By the end of the month, as forest fires started, COVID-19 had emerged as a global epidemic that, in late April, had killed more than 233,000 people worldwide.

The response of the government and the agency to the crisis – be it forest fires or pandemics – is informed by knowledge of experts, data, experience and advice on community and risk exposure.

Collectively, these elements, and our recovery, help determine resilience.

But what happens when crises happen simultaneously? Emergency responses to many natural hazards involve evacuation to community centers, but this clearly poses other risks during the epidemic.

Figure 1: The number of global deaths annually, according to the type of disaster. Drawing: provider

One thing is clear: the way the COVID-19 crisis is dealt with is now strongly influencing the potential impacts of any natural disasters.

Double problem

There is a history of epidemics after natural disasters.

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The 2004 tsunami in South Asia, which killed more than 250,000 people and displaced more than 1.7 million in 16 countries, produced ideal conditions for the spread of acute respiratory infection in Aceh, Indonesia – the worst affected area.

In 2010, the outbreak of the first cholera epidemic in Haiti more than a century ago resulted in 8,183 deaths, inflated by infrastructure damage caused by the previous earthquake.

In fact, after any meteorology (i.e. hurricanes, floods, and hurricanes) or a geophysical disaster (earthquakes and volcanic eruptions) that replace large numbers of people and epidemic diseases such as diarrheal diseases, hepatitis A and E, measles, meningitis, and acute respiratory infections, malaria often appears Or dengue fever.

Figure 2: An earthquake of magnitude 5.3 struck Zagreb, the capital of Croatia, disrupting new closures. Drawing: provider

However, in 2020, we are in an unknown area.

The COVID-19 pandemic is in full swing, and impending natural disasters can increase the already increasing socio-economic vulnerabilities caused by COVID-19.

But some countries have already suffered from these double crises.

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In late March, a magnitude 5.3 earthquake struck Zagreb, the capital of Croatia, disrupting new closures. While the full effect of this temporary disorder on COVID-19 infection was not understood in detail, according to our analysis of available data, there was a clear increase in the incidence rate in the days following the earthquake.

Several other simultaneous natural disasters caused damage and disrupted social dispersal measures including tropical Hurricane Harold in the Pacific, the Anak Krakatau eruption in Indonesia and hurricanes in the United States; the impact of these disasters has not yet been measured.

So on the one hand, according to primary media and operational reports, the fact that COVID-19 countermeasures could impede the emergency response to disasters like these. Then, on the other hand, disrupting social expansion can increase the likelihood of infection.

Natural disasters can replace large numbers of people, and epidemic diseases often appear after that. Image: Getty Images

This is the potential twin blow that governments may have to deal with in the next few months – perhaps years. Preparation is key.

To understand the potential impact of a hybrid natural disaster-disaster scenario, we combined epidemiological projection models with natural risk models to arrive at two initial examples.

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Hybrid prediction to drop deaths

Our team used a publicly available epidemiological prediction platform to look at how the effectiveness of COVID-19 responses impacted injury and death rate forecasts in the United States, Australia, Bangladesh, and China.

These projections are made by reducing the difference between the number of confirmed deaths and those predicted by a pandemic model for a specific period of time, which takes into account factors such as the extent of COVID-19 infection (reproductive number: R₀) and the effectiveness of COVID-19 countermeasures (specific). In percentages).

Our expectations, although very simple and uncertain, underline the need for effective and sustainable COVID-19 countermeasures.

Figure 3: Research research into the efficacy of COVID-19 responses to injury and death rates in the United States, Australia, Bangladesh, and China. Drawing: provider

Looking at Figure 3, the expected number of deaths in the U.S. (on plate A) could rise from about 92,000 (the dotted gray line) to 220,000 (the solid gray line) if the countermeasures are reduced by only 10 percent.

To give this context, we also looked at seasonal risk curves along with COVID-19 projection curves. Seasonal natural hazards – such as floods, hurricanes, tropical cyclones, heat waves, forest fires and hurricanes – can exacerbate the impact of COVID-19.

The overall likelihood of these natural hazards occurring in the United States, Bangladesh, and China increases over the next few months, while here in Australia, their probability decreases during the same period.

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So, during the summer of the northern hemisphere, countries such as the United States, Bangladesh, and China are particularly vulnerable to epidemic hazards and complex natural disasters.

Timing of natural hazards

Using a simple epidemiological model, we investigated the effect of the timing of a potential natural disaster on the new daily incidence curve.

It is this curve that governments are trying to “flatten” to manage demand for health care services. Early analysis shows that these interventions have significantly reduced demand for health services to date.

Figure 4: The blue curve shows the daily infection rate in the background before any intervention. The red curve is the average incidence of flatness scales. Drawing: provider

In Figure 4, the blue curve shows the usual daily infection rate in the background before any intervention, and the red curve is the rate of infection with full force settlement measures.

Then we presented an external event, like a natural disaster, to the flat curve.

Our team presented this event on both sides of the peak injury rate (before the peak in the left column and after the peak in the right). We also assume a five-day COVID-19 incubation period and that the flattening procedures can be completely re-imposed after a specified number of days (days 7, 21 used here) after the risk.

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The incidence curve of an external event is illustrated by the gray point curve, which shows an increase in the rate of injury above the flat curve to varying degrees.

This experience offers two important insights.

The first is that the increase in the incidence rate is greater for the events that occur in the pre-peak period than the post-peak period. The second is that the incidence rate increases with the time it takes to fully reintroduce social spacing measures.

While these two typical examples have doubts, they emphasize the multidimensional nature of decisions that must be taken in order for COVID-19 measures to be effective during natural disasters.

There was a clear increase in the rate of infection in the days following the earthquake in Zagreb. Photo: Getty ImagesCOVID-19 strategies

In the absence of the vaccine, COVID-19 transmission projections indicate that the current crisis will be protracted.

However, there are four preventive strategies that governments can adopt to address the combined risks of COVID-19 and natural hazards.

First, it is critical to identify potential hybrid scenarios for natural disasters, including worst-case scenarios; this requires building new hybrid predictive models that combine existing pandemic projection models and forecasting natural hazards.

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Second, emergency responses to extreme events can be modified in advance by looking at seasonal weather forecast models.

There are already above-average hurricane season predictions this year, so a major hurricane is likely to lead to landing in North America in the next few months, so planning ahead is essential.

Third, there is a need to redesign policy responses to address various natural hazards with an emphasis on social divergence. Policy changes must be made in a wide range of post-disaster activities, from distributing emergency aid to providing shelter.

Finally, support for relief agencies serving low-income communities or regions and their governments is important as the impacts of the combined effects on these areas are likely to be disproportionately high.

While the primary focus of many governments is on managing the COVID-19 crisis, planning for potential and simultaneous natural disasters is also crucial to ensuring that communities are adequately prepared for the complexities that may arise from overlapping crises.

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